1992, 05-13 Permit: 92002759 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the Information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 920027 59
ISSUED PERMIT DATE-:: 05/13/92 PAGE= 01
x******•*************•******** PERMIT INFORMATION **x******** ********af * e
SITE STREET= 1 341 2 E 5TH AVE PARCEL4= 22541-0502
ADDRESS= SPOKANE WA 99256
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (92S-375)
*** SEE NOTE ***
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= UNK DIST@
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
ro OF BLDGS-= i 0 DWELLINGS= i WATER DIST
OWNER= DUNCAN LILLIAN C. PHONE=:
STREET= 13412 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= T I... C CONSTRLJTION PHONE NUMBER== 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
**********************•******* SEWER PERMIT*.*..%.M..x*************.*.**..tt..tt•*******
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 1 2TH AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
*****•*******************x****** PAYMENT SUMMARY **************9i*** *********•*
PAYMENT DATE. RECEIPT„: PAYMENT AMOUNT
05/13/92 3554 50.00
TOTAL.. DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FE::E:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY': DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIE:I._D LOCATE: AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 *ib********
******ii* *********************** THANK YOu******************************§E e